5781 Hebrew High Enrollment Form

Hebrew High Enrollment Form

5781 School Year (2020-2021)
Fill out this ONLINE enrollment form below for our Hebrew High program.

Or, CLICK HERE to download a printable version to enroll OFFLINE for the program by filling it out by hand and then sending it to Temple Sinai.
FAMILY INFORMATION
1st Parent/Guardian*

First NameLast Name
2nd Parent/Guardian

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone*
Additional Phone
Primary Email*
We will use email to communicate with families regularly.
EMERGENCY CONTACT INFO
Emergency Contact Name*

First NameLast Name
Emergency Contact Primary Phone*
Emergency Contact Additional Phone
Additional Adults Authorized to Sign Student(s) Out*
STUDENT INFORMATION

For Students in Grades 8-12
# of Students*
List the total students enrolling in program.
List Info for Each Student*
BILLING
Sessions are one Sunday each month during the School Year from 2:00 - 3:00 pm. (Rates listed are for the entire school year, both Fall and Spring semesters.)

Today's Payment: You may pay all or part of your total tuition bill today. Any remaining balance will be billed to you as indicated below.
Are You Members of Temple Sinai?*

YESNO
Tuition Total
$36ea. for Members / $180ea. for Non-Members
Today's Payment*
Can be ALL, PART, or NONE of the Tuition Total to be paid ONLINE today.
Convenience Fee
A 3% fee is added to all credit card or PayPal payments.
Total Payment
Today's Charge

prevnext( X )
USDHebrew High Tuition Payment
Balance Billed Later
How would you like to pay your remaining balance due?*

Pay in FULL in AugustOther
If you need to select the "Other" option, please make additional billing arrangements with Jay Goldberg at cfo@sinaireno.org or (908) 839-7717.
PHOTO RELEASE*

I am the parent or legal guardian of the student(s) listed on this form who is/are under the age of 18 or a person(s) under legal guardianship. I AGREE to the photo release terms for the use of pictures of student(s) in the Temple Sinai web presence and do hereby release Temple Sinai, its staff and volunteers from all liability due to Sinai sponsored group activities.I would like to OPT-OUT of Temple Sinai's online presence and do not give permission to use photos of my child(ren). I am the parent or legal guardian of this/these child(ren) who is/are under the age of 18 or a person(s) under legal guardianship.
Signature*

Clear

Click to View our Cancellation & Web Photo Policy
Cancellation Policy

All Hebrew High tuition is billed out according to the schedule set in the enrollment form here. Billing refunds will be pro-rated based on the number of months paid for, or portion thereof, that Hebrew High has been in session until the date of cancellation.

Use of Children’s Pictures in Temple Sinai’s Web Presence

1. The following policy governs the posting of pictures of children on the Temple Sinai Web presence.

1.1 Pictures of children under the age of 18 showing any part of their face will not be posted on the Temple Sinai web presence without express written approval by a parent or legal guardian. Permission must be granted using the provided Temple Sinai form letter. All forms will be filed in the Temple Sinai Administrative Office.

1.2 The parent or legal guardian granting permission may withdraw that permission at any time in writing. Upon receiving such withdrawal, the picture will be removed as quickly as possible, but no later than the next business day.

1.3 Separate permission must be given for each child. Permission will be assumed to apply to all pictures of that child.

1.4 If permission is given by a parent or legal guardian to post the picture, under no circumstances will there be an identification of the child’s / children’s name anywhere on the web presence.

1.5 Captions linked to any picture where a child’s / children’s face appears will not identify the child/children.

2. This policy was approved by the Board of Trustees at its October 10, 2012 meeting.

End Form
Should be Empty:

Hebrew High Enrollment Form

Fill out this ONLINE enrollment form below for our Hebrew High program.

FAMILY INFORMATION

EMERGENCY CONTACT INFO

STUDENT INFORMATION

BILLING

Cancellation Policy

Use of Children’s Pictures in Temple Sinai’s Web Presence